Individual
MISS HOLLY ANGELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
1445 PEARL ST, SUITE 206, BOULDER, CO 80302-5343
(720) 556-2555
Mailing address
1445 PEARL ST, SUITE 206, BOULDER, CO 80302-5343
(720) 556-2555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0011074
CO
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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